Education : Vascular Interventional Radiology Fellowship

Program Structure

Vascular and Interventional Radiology, because of its invasive nature and especially because of the direct contact with patients and their management, requires specific radiological and interventional training as well as the development of certain skills to diagnose and treat different illnesses and pathologies. The program’s purpose is that trainees become proficient at the indications and contraindications of interventional procedures, the risks and benefits of the procedures, as well as other options available to treat the particular diseases. The objective is to provide the Vascular and Interventional fellow with a full comprehensive supervised educational experience which will include the performance of the procedures, patient pre-procedure workup, and post-procedure management. It is the responsibility of the Program Director, the faculty of the Vascular Interventional Radiology Section, as well as the Department of Radiology as a whole, to meet these educational goals with close supervision of the trainee.

The program allows the fellow to be exposed to a wide variety of pathology and complex vascular, vascular interventional, and non-vascular interventional cases at Jackson Memorial Hospital (JMH), the only tertiary care hospital in Miami-Dade County and a Level I trauma center. The fellow also participates in an extensive array of oncology cases performed at the University of Miami Hospitals and Clinics/Sylvester Comprehensive Cancer Center (UMHC/SCCC). The program is unique in that it offers the trainee has the opportunity of performing a variety of procedures at both a level one trauma center and a dedicated cancer hospital. Interventional oncology is becoming a very relevant component of interventional radiology today.

The fellows rotate on a weekly basis among four rotations. Fellows are on call on an average of every 4-5th week. Work hour tracking is done through New Innovations in compliance with ACGME regulations. There are two weeks allotted to elective time which has been tailored to the interests of individual fellows later in the year.

Rotations are split as follows:

  1. Vascular & Interventional Radiology (JMH): 19 weeks
  2. Interventional Radiology/Oncology (UMHC/SCCC): 13 weeks
  3. Vascular & Interventional Radiology (VAMC): 13 weeks
  4. Vascular & Interventional Radiology (UMH): 7 weeks

Research

The fellows are paired up with faculty mentors at the beginning of the year to get them involved in research projects. Each fellow must complete a research project during the 12 month fellowship. Research endeavors are supported by a dedicated research team included a statistician.

Meetings

The fellows are encouraged to present their work at various meetings. Meeting allowance is as follows:

  1. CME 5 days
  2. Reimbursement

Complimentary registration and protected time is provided for Synergy, a multidisciplinary meeting focusing on interventional oncology. Complimentary registration is provided at the International Symposium on Endovascular Therapy (ISET).

Evaluation Process

Fellows are evaluated by the Program Director, faculty, triage staff, nurses, and technical staff throughout the year. The Program Director and faculty formally rate the fellows quarterly and give a final summative evaluation at the end of the fellowship. Other ancillary staff evaluate the fellows semi-annually on their performance and interpersonal skills. The Program Director sits with each fellow, at least quarterly, to give an assessment of their progress in the program and to review their procedure logs.

Allowances

The food stipend at JMH is $1,375. Daily allowance is provided while on rotation at UMH. Complimentary lunch is provided at UMHC.

A professional allowance of $1,250 is directly deposited in October.

Conferences

Weekly conferences include daily rounds structured based on rotation location. Monday morning conference for the first six months is given by the attending physicians and by the fellows the second six months. The latter are structured around working through an standard IR textbook ie. Vascular and Interventional Radiology: the requisites. Thursday morning conference is an interventional oncology educational tumor board where interesting cases and consultations are presented from each of the four hospitals. Friday morning conference is a rotation between Journal Club, Interesting Case presentation, and Morbidity and Mortality report that is presented by the fellows. One Thursday of each month a dedicated interventional oncology conference is given.